Sure Smile Clinic
Tooth Decay

Tooth Decay

Tooth decay is the most common dental disease in the UK — and the most preventable. Caught early it can often be arrested without a drill; left alone it reaches the nerve and becomes painful and expensive.

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01 — Why it matters
Decay is a process, not an event.

Acid produced by plaque bacteria dissolves minerals out of enamel every time you eat or drink something sugary. Between meals, saliva puts those minerals back. Decay happens when the attacks outnumber the repairs.

That means the earliest stage — a chalky white spot — can genuinely be reversed with fluoride and a change in snacking pattern. Once a hole forms, it needs a filling.

02 — Symptoms

Decay is silent until it isn't.

The signs vary, but most people notice one or more of these:

  1. 01Sensitivity to sweet, hot or cold
  2. 02A visible dark spot or hole
  3. 03Food consistently packing between two teeth
  4. 04Rough or catching edges on the tongue
  5. 05Ache when biting down
  6. 06Bad taste from a decayed tooth
03 — Causes

Where it comes from.

The most common culprits:

Frequent sugar
How often you snack matters more than how much.
Plaque build-up
Bacteria left on the tooth make acid.
Dry mouth
Less saliva means less natural repair.
Deep grooves
Fissures trap food beyond a brush's reach.
Acidic drinks
Fizzy and fruit drinks soften enamel first.
Missed check-ups
Small cavities are invisible without X-rays.
04 — When to see a dentist

Don't wait it out.

Speak to your our practice dentist if you're experiencing any of the following — book an appointment as soon as you can:

  • You can see a dark mark or hole in a tooth.
  • Sweet or cold triggers a sharp twinge.
  • Food keeps getting stuck in the same spot.
  • It's been more than a year since your last X-rays.
05 — What to do about the pain

In discomfort right now?

Pain that lingers after cold, or wakes you at night, usually means the decay has reached the nerve — call us rather than waiting for your next check-up.

06 — What's next

A plan, not a quick fix.

We diagnose with an examination and bitewing X-rays, treat early lesions with fluoride and sealants, and restore established cavities with tooth-coloured fillings the same day where possible.

Our Credentials & Associations

Trusted, accredited and recognised

NHS
General Dental Council
Care Quality Commission
Juvéderm
C Thru